Organization
DR ERIC T BROOKER PC
Active
Other names
Advantage Family Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC T BROOKER O.D. (PRESIDENT/OWNER)
(702) 212-7755
Entity
Organization
Contact information
Practice address
5269 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 212-7755
(702) 795-0646
Mailing address
5269 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 212-7755
(702) 795-0646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV439
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386796969
NPI
NV
01
—
V36513
PROVIDER NUMBER
NV
Enumeration date
05/27/2008
Last updated
07/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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